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1996-02-26
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Document 0003
DOCN M9620003
TI Oral 2-chlorodeoxyadenosine in psoriatic arthritis. A preliminary
report.
DT 9602
AU Eibschutz B; Baird SM; Weisman MH; Amox DG; Spellman M; Piacquadio D;
Carrera CJ; Carson DA; University of California, San Diego, La Jolla,
USA.
SO Arthritis Rheum. 1995 Nov;38(11):1604-9. Unique Identifier : AIDSLINE
MED/96062434
AB OBJECTIVE. To determine if weekly oral 2-chlorodeoxyadenosine (2-CdA)
can induce selective lymphocytopenia, and reduce inflammation, in
patients with refractory psoriatic arthritis. METHODS. Seven patients
with psoriatic arthritis were treated with oral 2-CdA at weekly dosages
of 0.3 mg/kg to 0.45 mg/kg for 12 weeks, followed by monthly maintenance
therapy. The patients were evaluated after 6 months. RESULTS. The drug
treatment produced selective lymphocytopenia, and reduced lymphocyte
infiltration into involved skin. One patient did not complete 12 weeks
of therapy because of perceived lack of efficacy. Four of the 6
remaining patients had improved joint disease, and 5 of 6 had improved
psoriasis. CONCLUSION. Weekly oral 2-CdA appears to be a well-tolerated
regimen for the inducement of peripheral lymphocytopenia in patients
with psoriatic arthritis. Larger-scale, controlled trials may be
warranted.
DE Administration, Oral Adult Aged Arthritis, Psoriatic/BLOOD/*DRUG
THERAPY/PATHOLOGY Biopsy Cladribine/*ADMINISTRATION & DOSAGE CD4-CD8
Ratio Female Human Lymphocyte Count/DRUG EFFECTS Male Middle Age
Patient Compliance Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).